Active NPI
Marcia A. Oliver, M.D.
- Family Medicine Physician
- Easley, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20189
- Practice address
- 115 Brushy Creek Rd
Easley, SC 29642-1120 - Phone
- (864) 855-1633
- Fax
- (864) 855-1323
- NPI assigned
- Dec 27, 2005
- Last updated
- Oct 4, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20189 | SC | Primary |
Addresses
Primary practice location
115 Brushy Creek Rd
Easley, SC 29642-1120
Mailing address
115 Brushy Creek Rd
Easley, SC 29642-1120
Phone (864) 855-1633
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396722849 | Other | SC | NPI |
| N00958 | Medicaid | SC | |
| 20189 | Other | SC | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, TX, GU, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Florida College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone (671) 647-2552
PO Box
Suite 1946
Taos, NM 87571-1946
Phone (575) 758-6966
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spartanburg Medical Center | Current | Accepting new patients | |
| DHHS IHS Phoenix | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Spartanburg Medical Center | Family Medicine | Current | Accepting new patients |
| Taos Picuris Health Center | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Santa Ana Health Center | Current | Accepting new patients | |
| Albuquerque Indian Health Center | Current | Accepting new patients | |
| Presbyterian Medical Services | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Oaktree Medical Centre, PC | Past | Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients |
Locations
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555
850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552
801 Vassar Dr NE
Albuquerque, NM 87106
Phone (505) 248-4000
2 Dove Rd
#C
Bernalillo, NM 87004
Phone (505) 867-2497
1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565
101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554
151 Peachwood Centre Dr
Spartanburg, SC 29301
Phone (864) 560-9627
2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696
853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Oka Tamuning, GU
- NPI 1366519027
-
dba Medical Group of the Carolinas - Spineand Pain Management - NorthGrove
- Neuromusculoskeletal Medicine & OMM Physician
- Spartanburg, SC
- NPI 1043309917
-
dba Peach Springs Health Center
- Clinic/Center
- Peach Springs, AZ
- NPI 1265719934
TX
-
dba Rio Rancho Family Health Center
- Federally Qualified Health Center (FQHC)
- Rio Rancho, NM
- NPI 1871505032
-
dba Medical Group of the Carolinas - Immediate Care Center - Westside
- Urgent Care Clinic/Center
- Spartanburg, SC
- NPI 1508819483
Family Medicine
-
dba Medical Group of the Carolinas Pain Management Wood Street
- Physical Medicine & Rehabilitation Physician
- Spartanburg, SC
- NPI 1942188875
-
- Skilled Nursing Facility
- Oka Tamuning, GU
- NPI 1952479131
-
dba PMS Central Pharmacy
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1306654462
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oka Tamuning, GU
- NPI 1366519027
-
dba Holy Cross Hospital
- General Acute Care Hospital
- Taos, NM
- NPI 1194751958
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1396722849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 BRUSHY CREEK RD",
"city": "EASLEY",
"state": "SC",
"postal_code": "296421120",
"telephone_number": "864-855-1633",
"fax_number": "864-855-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 BRUSHY CREEK RD",
"city": "EASLEY",
"state": "SC",
"postal_code": "296421120",
"telephone_number": "864-855-1633",
"fax_number": "864-855-1323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "MARCIA",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-27",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "20189",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1396722849",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N00958",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "20189",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.